Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN.
Department of Cardiology, University of Michigan, Ann Arbor, Ml.
Am J Transplant. 2021 Feb;21 Suppl 2:356-440. doi: 10.1111/ajt.16492.
The new adult heart allocation policy was approved in 2016 and implemented in October 2018. This year's Annual Data Report provides early insight into the effects of this policy. In 2019, new listings continued to increase, with 4086 new candidates. Also in 2019, 3597 heart transplants were performed, an increase of 157 (4.6%) from 2018; 509 transplants occurred in children and 3088 in adults. Short- and long-term posttransplant mortality rates improved. Overall, Mortality rates for adult recipients were 6.4% at 6 months and 7.9% at 1 year for transplants in 2018, 14.4% at 3 years for transplants in 2016, and 20.1% at 5 years for transplants in 2014. Mortality rates for pediatric recipients were 6.3% at 6 months and 8.2% at 1 year for transplants in 2018, 10.3% at 3 years for transplants in 2016, and 17.8% at 5 years for transplants in 2014.
新的成人心脏分配政策于 2016 年批准，并于 2018 年 10 月实施。今年的年度数据报告提供了对该政策影响的早期洞察。2019 年，新的名单继续增加，有 4086 名新候选人。同样在 2019 年，进行了 3597 次心脏移植，比 2018 年增加了 157 次（4.6%）；509 次移植发生在儿童，3088 次移植发生在成人。短期和长期移植后死亡率有所改善。总体而言，2018 年接受成人移植的患者在 6 个月和 1 年的死亡率分别为 6.4%和 7.9%，2016 年接受移植的患者在 3 年的死亡率为 14.4%，2014 年接受移植的患者在 5 年的死亡率为 20.1%。2018 年接受儿童移植的患者在 6 个月和 1 年的死亡率分别为 6.3%和 8.2%，2016 年接受移植的患者在 3 年的死亡率为 10.3%，2014 年接受移植的患者在 5 年的死亡率为 17.8%。
